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The 2004-05 First Macedonian Football League was the 13th since its establishment. The first matches of the season were played on 8 August 2004 and the last on 29 May 2005. FK Pobeda were the defending champions, having won their second title. The 2004-05 champions were FK Rabotnički who had won their first title.
||Qualification or relegation
|1||Rabotnički (C)||33||25||3||5||66||23||+43||78||2005–06 UEFA Champions League First qualifying round|
|2||Vardar||33||22||6||5||68||34||+34||72||2005–06 UEFA Cup First qualifying round|
|3||Pobeda||33||16||7||10||59||49||+10||55||2005 UEFA Intertoto Cup First round|
|6||Baškimi||33||14||7||12||53||47||+6||49||2005–06 UEFA Cup First qualifying round 1|
|9||Cementarnica 55 (O)||33||13||7||13||54||50||+4||432||Relegation playoff|
|10||Madžari Solidarnost (R)||33||12||5||16||44||55||−11||41|
|11||Sloga Jugomagnat (R)||33||5||2||26||37||80||−43||17||Relegation to the 2005–06 Second League|
Source: FFM (Macedonian) (English)
Rules for classification: 1st points; 2nd goal difference; 3rd goals scored; 4th head-to-head points; 5th head-to-head goal difference; 6th head-to-head goals scored; 7th draw.
For deciding champions, qualification to UEFA Cup, relegation play-offs and relegation: 1st points; 2nd head-to-head points; 3rd head-to-head goal difference; 4th head-to-head goals scored; 5th decision match(es).
1Baškimi won 2004–05 Macedonian Cup and qualified for the first qualifying round of the UEFA Cup.
2Cementarnica were deducted 3 points for not showing up for the match against Sileks in the 32nd round.
(C) = Champion; (R) = Relegated; (P) = Promoted; (E) = Eliminated; (O) = Play-off winner; (A) = Advances to a further round.
Only applicable when the season is not finished:
(Q) = Qualified to the phase of tournament indicated; (TQ) = Qualified to tournament, but not yet to the particular phase indicated; (DQ) = Disqualified from tournament.
* = match awarded
|Madžari Solidarnost||1 – 2||Makedonija||Skopje City Stadium, Skopje
|Cementarnica||2 – 1||Turnovo||Goce Delčev Stadium, Prilep
- Sileks - Maribor (0:1, 1:1), Maribor won 2:1 on aggregate
- Omonia - Sloga Jugomagnat (4:0, 4:1), Omonia won 8:1 on aggregate